<!DOCTYPE HTML>
<html>
<head>
<meta charset="utf-8">
<title>::QR-EasyMarket::</title>
</head>

<body>
	<form id="form1" name="form1" method="post"
		action="RegistroClienteServlet">
		<table bgcolor="#E8F2FF" width="880" border="0" align="center"
			cellpadding="0" cellspacing="0">
			<tr>
				<td height="162" colspan="5"><img src="images/logo_n.png"
					width="948" height="162" /></td>
			</tr>
			<tr>
				<td width="168" height="647" rowspan="24"><p>&nbsp;</p>
					<p>&nbsp;</p>
					<p>&nbsp;</p>
					<p>&nbsp;</p>
					<p>&nbsp;</p>
					<p>&nbsp;</p>
					<p>&nbsp;</p>
					<p>&nbsp;</p>
					<p>&nbsp;</p></td>
				<td colspan="2" rowspan="2"><p>&nbsp;</p>
					<p>&nbsp;</p></td>
				<td colspan="2"><img src="images/RMI.png" width="122"
					height="15" border="0" align="right" usemap="#Map4"></td>
			</tr>
			<tr>
				<td height="19" colspan="2">&nbsp;</td>
			</tr>
			<tr>
				<td width="143" height="15">Nombres:</td>
				<td width="280"><label for="textfield"></label> <input
					type="text" name="nombre" id="nombre"></td>
				<td width="313">&nbsp;</td>
				<td width="44">&nbsp;</td>
			</tr>
			<tr>
				<td height="16" colspan="2">&nbsp;</td>
				<td width="313" rowspan="13"><img
					src="images/registrarcliente.jpg" width="309" height="263"></td>
				<td width="44">&nbsp;</td>
			</tr>
			<tr>
				<td height="16">Apellido Paterno:</td>
				<td height="16"><label for="textfield2"></label> <input
					type="text" name="apaterno" id="apaterno"></td>
				<td width="44">&nbsp;</td>
			</tr>
			<tr>
				<td height="16" colspan="2">&nbsp;</td>
				<td width="44">&nbsp;</td>
			</tr>
			<tr>
				<td>Apellido Materno:</td>
				<td><label for="textfield3"></label> <input type="text"
					name="amaterno" id="amaterno"></td>
				<td width="44">&nbsp;</td>
			</tr>
			<tr>
				<td colspan="2">&nbsp;</td>
				<td width="44">&nbsp;</td>
			</tr>
			<tr>
				<td>DNI:</td>
				<td><label for="textfield4"></label> <input type="text"
					name="dni" id="dni" maxlength="8"></td>
				<td width="44">&nbsp;</td>
			</tr>
			<tr>
				<td colspan="2">&nbsp;</td>
				<td width="44">&nbsp;</td>
			</tr>
			<tr>
				<td>Teléfono:</td>
				<td><label for="textfield5"></label> <input type="tel"
					name="telefono" id="telefono" autofocus maxlength="7"></td>
				<td width="44">&nbsp;</td>
			</tr>
			<tr>
				<td colspan="2">&nbsp;</td>
				<td width="44">&nbsp;</td>
			</tr>
			<tr>
				<td>Email:</td>
				<td><label for="textfield6"></label> <input type="email"
					name="email" id="email" placeholder="name@qreasy.com"
					required="required"></td>
				<td width="44">&nbsp;</td>
			</tr>
			<tr>
				<td colspan="2">&nbsp;</td>
				<td width="44">&nbsp;</td>
			</tr>
			<tr>
				<td>Clave:</td>
				<td><label for="textfield7"></label> <input name="clave"
					id="clave" type="password" id="textfield7" maxlength="10">
				</td>
				<td width="44">&nbsp;</td>
			</tr>
			<tr>
				<td colspan="2">&nbsp;</td>
				<td width="44">&nbsp;</td>
			</tr>
			<tr>
				<td>Dirección:</td>
				<td><label for="textfield8"></label> <input type="text"
					name="direccion" id="direccion"></td>
				<td width="313">&nbsp;</td>
				<td width="44">&nbsp;</td>
			</tr>
			<tr>
				<td colspan="2">&nbsp;</td>
				<td width="313">&nbsp;</td>
				<td width="44">&nbsp;</td>
			</tr>
			<tr>
				<td>Fecha de Nacimiento:</td>
				<td><label for="fechaNac"></label> <input type="time"
					name="fechanac" id="fechanac" placeholder="AAAA-MM-DD" required
					autofocus maxlength="10"></td>
				<td width="313">&nbsp;</td>
				<td width="44">&nbsp;</td>
			</tr>
			<tr>
				<td colspan="2">&nbsp;</td>
				<td width="313">&nbsp;</td>
				<td width="44">&nbsp;</td>
			</tr>
			<tr>
				<td>Celular:</td>
				<td><label for="celular"></label> <input type="tel"
					name="celular" id="celular" autofocus maxlength="9"></td>
				<td width="313">&nbsp;</td>
				<td width="44">&nbsp;</td>
			</tr>
			<tr>
				<td colspan="2">&nbsp;</td>
				<td colspan="2">&nbsp;</td>
			</tr>
			<tr>
				<td colspan="4" align="center"><input type="submit"
					name="enviar" id="enviar" value="Enviar datos"></td>
			</tr>
			<tr>
				<td colspan="2">&nbsp;</td>
				<td colspan="2">&nbsp;</td>
			</tr>
			<tr>
				<td height="26" colspan="5"><img src="images/panel_down.png"
					width="948" height="26" /></td>
			</tr>
		</table>
	</form>
	<map name="Map4">
		<area shape="rect" coords="2,1,119,15" href="index.html">
	</map>

</body>
</html>
